Male Death Registration: Year: 1970 number: 3801
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003801
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED MacLeod, Raymond
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Milton
9. DATE OF BIRTH 10 8, 1900
10. AGE in Years69 Months8 Days2 | hrs or mins
11. Trade or profession Retired Seaman
12. Kind of industry Merchant Marine
13. Date last worked 1964 14. Total years
15. If married name of spouse Jennie May MacLeod (De'c)
16. NAME of Father Frederick MacLeod
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Schrader
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ralph Rafuse
address Milton, Queens Co
Relationship to deceased Nephew
21. Place of burial Liverpool
Date of burial June 12, 1970
22. Undertaker Chandler's Funeral Service Ltd, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 10, 1970
CAUSE OF DEATH
(a) Cancer Lung
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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